Inspection on 09/07/07 for Hawkstone House

This inspection was carried out on 9th July 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Hawkstone House 01/12/06

Hawkstone House 27/07/06

Hawkstone House 14/03/06

Hawkstone House 22/11/05

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Hawkstone House Shann Lane Keighley West Yorkshire BD20 6NA Lead Inspector Cheryl Stovin Key Unannounced Inspection 9th July 2007 11:30 Hawkstone House DS0000064324.V342717.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Hawkstone House DS0000064324.V342717.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Hawkstone House DS0000064324.V342717.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hawkstone House Address Shann Lane Keighley West Yorkshire BD20 6NA 01535 609122 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) hawkstone@woodleigh-care.co.uk Isand Ltd Care Home 10 Category(ies) of Learning disability (10) registration, with number of places Hawkstone House DS0000064324.V342717.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1st December 2006 Brief Description of the Service: Hawkstone House is large detached house standing in its own grounds. Its proximity to Keighley town centre gives easy access to shopping, transport links and leisure facilities. The home now provides accommodation for 10 adults with learning disabilities who require significant support in daily living and may present with challenging behaviour. All the bedrooms are singles with 5 being en-suite. A large dining and separate lounge area are provided in the main building. A further dining area, lounge and small kitchen are available in the new extension. People living at the home would be in the age range 18 to 65 and of mixed gender. People’s weekly charge is subject to the level of care required. Hawkstone House DS0000064324.V342717.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report brings together evidence gathered during a key inspection of Hawkstone House. This included an unannounced visit I made to the home on 9 July 2007. The purpose of the inspection was to make sure that the people living at the home are receiving the care and support they want and that they and their families are satisfied with the service. During this visit a full tour of the building was undertaken, records were examined and I spoke to management, staff and the people living at the home. In addition to this visit, comment cards were sent out to give people an opportunity to share their views of the service with CSCI. Three people living at the home returned their surveys and three health care professionals also responded. The last inspection of Hawkstone House was on 1 December 2006, no additional visits have been made. An Annual Quality Assurance Assessment (AQAA) completed by the home was returned promptly and gave useful information. I would like to thank everybody for their warm welcome and assistance given during this inspection. What the service does well: The people living at Hawkstone House said that they get the care and support they need and that they like living there. There is a warm, homely and lively atmosphere in the home with staff and people living at the home appearing to work together as a team. The staff team are well trained and were seen to be providing assistance to people in a manner which promotes independence and dignity. People living at the home said that the staff are “great” and relationships between them were seen to be relaxed and friendly. The home is well managed and the manager is committed to ensuring that people living at the home, and the staff, contribute to the decision making processes. A good relationship exists with fellow health care professionals. This was confirmed by comments made in the surveys. One health care professional said that they “couldn’t think of anything” the care service could improve. Hawkstone House DS0000064324.V342717.R01.S.doc Version 5.2 Page 6 People living at the home are protected by the recruitment procedures in the home which ensures that all the necessary checks are carried out before staff are employed. The home is well maintained throughout and furnished and fitted to a good standard. People living at the home are encouraged to personalise their own rooms and they are obviously very proud of their personal possessions. People living at the home live active and varied lives and are very much part of the local community and make use of a wide range of social and recreational facilities. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Hawkstone House DS0000064324.V342717.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Hawkstone House DS0000064324.V342717.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,4,5 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People’s needs are assessed before moving into the home and they are provided with written information about the services and facilities provided. EVIDENCE: The home has produced a Statement of Purpose and Service User Guide which details the services and facilities provided by the home. This document is now available in an audio format to meet the communication needs of the people living at the home. The audio tape is at present produced in the English language, however, it is planned to make it available in Punjabi as well. All people have an individual statement of terms and conditions, a copy of which is held on file and in their rooms. The weekly charge is subject to an individual assessment of need. All people are fully assessed prior to admission to make sure that the home can meet their needs. People are encouraged to visit the home several times before moving in to give them an opportunity to meet the staff and other people living at the home, and to sample the daily routine. The surveys received from health care professionals all said that the care service’s Hawkstone House DS0000064324.V342717.R01.S.doc Version 5.2 Page 9 assessment arrangements ensured that accurate information is gathered and that the right service is planned and given to individuals. Hawkstone House DS0000064324.V342717.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People’s current needs are recorded in their plan of care to ensure that support is given in accordance with their needs and preferences. People are fully involved in all aspects of daily life within the home and are encouraged and enabled to be as independent as possible. EVIDENCE: Six care records of people living at the home were looked at and were found to contain very detailed and holistic assessments. A ‘know me, understand me and support me’ document is completed in conjunction with the people living at the home. This document contains details of people’s abilities, likes and dislikes, interests and family history. Completion of this document, which is kept by people in their own rooms, forms the basis for the individual’s care plan. Hawkstone House DS0000064324.V342717.R01.S.doc Version 5.2 Page 11 One of the care plans seen was for a person with specific cultural needs, the needs were identified and the care plan gave clear information as to what action needs to be taken to ensure that these needs are met. Another care plan contained comprehensive details of strategies to be taken for dealing with a person’s challenging behaviours. One of the health care professionals said in their survey that the home “responds imaginatively to the challenges put before them by my service user. They defuse difficult situations to avoid conflict”. Detailed risk assessments are in place which are reviewed on a regular basis, this makes sure that risks are minimised and people are kept safe. People living at the home are encouraged to participate in the day to day running of the home and join in all activities of daily living. Staff and everybody living at the home appeared to be working together as a team. Regular house meetings influence the way the home is run. Minutes of these meetings are taken by a person living at the home so if anybody isn’t able to attend they know what was discussed and what decisions were made. People said that they liked living at the home and said that they are able to choose what to do everyday. Hawkstone House DS0000064324.V342717.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,14,15,16,17 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People enjoy active and varied lifestyles and participate in a wide range of community activities whilst living at the home. EVIDENCE: The atmosphere in the home is lively and welcoming. People living at the home said this was always the case. People living at the home are very much part of the local community and make use of a wide range of social and recreational facilities. On the day of the visit, one person had gone bowling and another shopping. People are encouraged to maintain and develop their own interests and to learn new skills. One person living at the home is involved in a local voluntary group and raises funds for charity. This has recently been reported in the local press. Another person has a part time paid gardening job which he proudly told me about. Hawkstone House DS0000064324.V342717.R01.S.doc Version 5.2 Page 13 In addition to social activities in the community, all people have the opportunity to join in activities in the home. On the day of the visit, staff were seen to be playing dominoes and board games with people living at the home. In the afternoon, there was a music group with a variety of instruments available. Everybody appeared to enjoy this musical session, especially the drummer! People are encouraged to maintain contact with family and friends, details of family birthdays and other special occasions are recorded and people are helped to mark these. People said that they can have visitors at any reasonable time and have the opportunity to see them in private. People said that they enjoy their meals, the menus are planned weekly by the people living at the home and staff. There is always a choice available. The main meal of the day is served in the evening. Each person has one day a week when they are responsible for choosing what the meal will be and assisting in the preparation and cooking of the meal. Shepherds pie and fresh vegetables was the person’s choice on the day of my visit. There is an emphasis on healthy eating in the home with fresh fruit always available. Hawkstone House DS0000064324.V342717.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People’s health care needs are met and personal care is given in accordance with their preferences. People are generally protected by the medication practices in the home. Care must be taken to ensure that any medication prescribed as ‘as required’ must be accounted for correctly. EVIDENCE: People’s personal support needs are assessed and form part of their plan of care. People’s physical and psychological health care needs are assessed and detailed in their individual support plans. All personal care is given in private, and people were seen to be treated with dignity at all times. One of the health care professionals made the following comment in response to the question ‘Does the care service provided respect individuals’ privacy and dignity’: “Yes, I have certainly seen this in action, and from several members of staff and at different times”. Hawkstone House DS0000064324.V342717.R01.S.doc Version 5.2 Page 15 A recognised health care monitoring document, the ‘OK Health Check’, is completed for everybody living at the home and a health action plan completed. People’s cultural are religious needs are assessed and plans drawn up, in conjunction with the person, to ensure that these needs are met. Medication policies and procedures have recently been revised and medication practices in the home are generally safe. The medication is supplied in a Monitored Dose System (MDS). The stocks of medication are securely and appropriately stored. All staff responsible for administering medication have received training. Medication administration records were accurately completed and reconciled with stocks held. Details of what the medication prescribed is used to treat and any possible side effects are recorded. Stocks of PRN (when required) medication were also checked. There are detailed guidelines held on when to administer the PRN medication. The medication is also securely and appropriately stored. The ‘when required’ medication for one person living at the home was looked at. The stock of medication held was Paracetamol for occasional pain relief. A record was held of when the medication had been administrated and of the total number of tablets remaining. There was an error between the number of tablets held and the total recorded. There were more tablets than the running total indicated there should be. In addition to the discrepancy regarding the number of tablets held, there were two different types of tablet in the same box. Some were in tablet formulation and some were capsules. All medication must be administered from the original container as dispensed by the pharmacist to make sure that medication is given safely. Nobody currently living at the home handles their own medication. Hawkstone House DS0000064324.V342717.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People are protected by the procedures and practices in the home, the staff understand and promote Adult Protection Procedures. This makes sure that people living at the home are safe. EVIDENCE: The home holds a complaints procedure which is made available to all people living at the home. The procedure to follow is included in the audio and written versions of the Service User Guide. A complaints log is kept which shows any complaints received and the outcome of the investigation. All people who returned a survey card said that they would know who to talk to if they were unhappy about anything in the home. Staff have received adult protection training and are aware of the procedure to follow if they suspect or witness abuse happening. Hawkstone House DS0000064324.V342717.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,28,30 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People live in a well maintained and hygienic environment. EVIDENCE: The home is situated in a residential area of Keighley within easy reach of the town centre. A full tour of the building was undertaken which showed that the home is well maintained throughout. All people have single bedrooms which were seen to be well furnished and equipped, with the majority being highly personalised reflecting their occupants’ interests and hobbies. All bedroom doors are fitted with locks and a lockable facility is provided for people to keep their belongings safe. People told me that they liked their own rooms and were obviously proud of their own possessions. Hawkstone House DS0000064324.V342717.R01.S.doc Version 5.2 Page 18 Communal areas are spacious and comfortable and furnished in a contemporary style. The home was noted to be clean and hygienic throughout. Well maintained gardens and patio areas are provided, which can be used for those people wishing to smoke. There are two kitchens in the home, one in the annex and one in the main part of the building. Both kitchens are well equipped and maintained to a good standard of hygiene. People are encouraged to use the kitchens, with staff supervision if required, to encourage their independence skills. Hawkstone House DS0000064324.V342717.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,34,35 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People’s needs are met by a well trained and competent staff team, and are protected by the rigorous recruitment practices. EVIDENCE: There are sufficient staff on duty to meet the needs of the people living at the home. There is one team leader and six support workers on duty, plus the manager, during day time hours and two waking night staff. The staff team work flexibly to meet the social and recreational needs of people. The staff appeared to work together as a team and relationships with people living at the home were observed to be relaxed and friendly, with appropriate use of informality and humour. People living at the home said the staff were “well OK” and “the staff are very good to us”. Hawkstone House DS0000064324.V342717.R01.S.doc Version 5.2 Page 20 Health care professionals said in their surveys “I have found the team to be knowledgeable and willing to find literature and information to support the clients’ needs”, and “the staff have the skills to support the individuals’ social and health care needs and there is a good range of ages and staff of both genders. It is very necessary to act as role models to my service user”. There is a commitment to staff training in the home with all staff required to undertake training to LDAF (Learning Disability Award Framework) specification. There is an induction training programme in place which meets the common induction standards to Skills for Care specification. Mandatory training for staff includes restraint and control, fire awareness, first aid, health and safety, food hygiene, moving and handling and safe handling of medication (for senior staff). Staff said that they enjoy and appreciate the amount of training provided. There is a programme of NVQ training in the home. Only one member of staff, however, has completed the award. A further 50 of the team are working towards the award and the home is working towards the target of 50 of the staff team being qualified to NVQ level 2. The staff recruitment files of three recently appointed support workers were seen. All of the files contained CRB (Criminal Records Bureau) and POVA (Protection of Vulnerable Adults) disclosures. Two written references, an application form and proof of identity were also in place. People living at the home are actively involved in the recruitment process. Hawkstone House DS0000064324.V342717.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39,42 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People live in a well run and managed service. People’s health and welfare are protected by the home’s health and safety practices. EVIDENCE: The acting manager of the home is experienced and competent to manage the home. The manager and the deputy manager have both completed the NVQ level 4 Registered Managers Award. The manager has applied to the Commission for Social Care Inspection to be registered, a date has been arranged for her interview. Hawkstone House DS0000064324.V342717.R01.S.doc Version 5.2 Page 22 The management team are committed to ensuring that an open and positive atmosphere is prevalent in the home. The manager was seen to be very approachable during the visit and welcoming the opinions of people living at the home and the staff team. The two health care professionals made the following comments in their survey cards: “The communication links have been superb. The speed in response and the willingness to provide and disseminate information has been of a particular high standard. The way the manager and her team have succeeded in supporting what could have been a potentially difficult placement should be applauded”. “My service user has a history of rejection and failure and I think that the staff (led by the manager) manage to care for him regardless of the challenges he throws their way”. “I have found the manager and her team to be positive and accessible throughout the joint work we have done in transferring a client from our service to Hawkstone House. I would praise the team for the positive influence they have made on the client and the positive and confident image they portray”. All people have their own bank accounts and financial procedures are in place to make sure that people’s money is handled safely. Each person has an individual bank sheet which details each withdrawal. People’s cash cards are securely stored and are signed for by the member of staff supporting the person to draw cash. There is a commitment to health and safety and safe working practices in the home. All staff receive mandatory health and safety training with regular updates. Fire drills are carried out on a regular basis and all staff receive fire safety training. Detailed risk assessments are in place which are reviewed and updated on a regular basis. Certificates were seen which showed compliance with gas and electrical regulations. A formal quality monitoring system is in place and people living at the home, their relatives and health and social care professionals are consulted as to their views on the service provided. The results of the survey have been published and the results were very positive. Some people have had several previous placements and the survey confirmed that Hawkstone House is able to meet their needs. Hawkstone House DS0000064324.V342717.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 x 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 x 28 3 29 x 30 3 STAFFING Standard No Score 31 3 32 2 33 3 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 x LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 x 3 3 3 x x 3 x Hawkstone House DS0000064324.V342717.R01.S.doc Version 5.2 Page 24 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA20 Regulation 13.2 Requirement To ensure that people receive their medication safely, the medication must be administered from the container in which it was dispensed by the pharmacist. Timescale for action 10/07/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2 Refer to Standard YA20 YA32 Good Practice Recommendations When any discrepancy in stocks of medication is discovered, the reasons why must be recorded to ensure that people receive the correct amount of medication. To ensure a consistent standard of care is given to people, 50 of the staff team must be qualified to NVQ level 2. Hawkstone House DS0000064324.V342717.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Brighouse Area Team First Floor St Pauls House 23 Park Square Leeds LS1 2ND National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Hawkstone House DS0000064324.V342717.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!